Active NPI
Courtney Baldwin Gill, MPAS, PA-C
- Physician Assistant
- Austin, TX
National Provider Identifier
1750658035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07360
- Practice address
- 8825 Bee Caves Rd
Austin, TX 78746-4720 - Phone
- (512) 328-3376
- Fax
- (512) 306-0222
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07360 | TX | Primary |
Addresses
Primary practice location
8825 Bee Caves Rd
Austin, TX 78746-4720
Mailing address
700 Meriden LN
Austin, TX 78703-4524
Phone (281) 793-5224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750658035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MERIDEN LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034524",
"telephone_number": "281-793-5224",
"fax_number": "512-306-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8825 BEE CAVES RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787464720",
"telephone_number": "512-328-3376",
"fax_number": "512-306-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "COURTNEY",
"middle_name": "BALDWIN",
"name_prefix": "Miss",
"credential": "MPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.